How much rates vary
Facilitymedian $282 · 10th to 90th $107 to $617Professionalmedian $240 · 10th to 90th $83 to $661
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $199.53 | Facility | None | $134.90 | $134.90 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $870.96 | Professional | None | $93.33 | $134.90 | $870.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $331.13 Typical High $660.69 | Professional | None | $81.28 | $331.13 | $660.69 |
CareSource Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $281.84 Typical High $426.58 | Facility | None | $251.19 | $281.84 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $199.53 Typical High $489.78 | Professional | None | $128.82 | $199.53 | $489.78 |
DeanCare Setting Facility Modifier None Typical Low $107.15 Median $501.19 Typical High $676.08 | Facility | None | $107.15 | $501.19 | $676.08 |
DeanCare Setting Professional Modifier None Typical Low $186.21 Median $229.09 Typical High $251.19 | Professional | None | $186.21 | $229.09 | $251.19 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $338.84 Typical High $870.96 | Facility | None | $100.00 | $338.84 | $870.96 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $234.42 Typical High $707.95 | Professional | None | $91.20 | $234.42 | $707.95 |
Network Health Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $117.49 | Facility | None | $87.10 | $87.10 | $117.49 |
Network Health Setting Professional Modifier None Typical Low $109.65 Median $154.88 Typical High $380.19 | Professional | None | $109.65 | $154.88 | $380.19 |
Prevea360 Setting Facility Modifier None Typical Low $83.18 Median $107.15 Typical High $177.83 | Facility | None | $83.18 | $107.15 | $177.83 |
Quartz Setting Professional Modifier None Typical Low $102.33 Median $218.78 Typical High $380.19 | Professional | None | $102.33 | $218.78 | $380.19 |
Quartz Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $263.03 | Professional | None | $128.82 | $128.82 | $263.03 |
Security Health Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Security Health Setting Professional Modifier None Typical Low $263.03 Median $537.03 Typical High $616.60 | Professional | None | $263.03 | $537.03 | $616.60 |
The Alliance Setting Professional Modifier None Typical Low $194.98 Median $269.15 Typical High $602.56 | Professional | None | $194.98 | $269.15 | $602.56 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None Typical Low $81.28 Median $204.17 Typical High $457.09 | Professional | None | $81.28 | $204.17 | $457.09 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $67.61 Typical High $446.68 | Professional | 52 · Reduced service | $67.61 | $67.61 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $177.83 | Professional | 53 · Discontinued | $26.92 | $26.92 | $177.83 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $69.18 Median $87.10 Typical High $109.65 | Facility | 80 · Assistant surgeon | $69.18 | $87.10 | $109.65 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $69.18 Median $87.10 Typical High $109.65 | Facility | 81 · Minimal assistant surgeon | $69.18 | $87.10 | $109.65 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $69.18 Median $87.10 Typical High $109.65 | Facility | 82 · Assistant surgeon, no resident | $69.18 | $87.10 | $109.65 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $60.26 Median $75.86 Typical High $95.50 | Facility | AS · PA/NP assist | $60.26 | $75.86 | $95.50 |
Where Wisconsin sits
The same service costs 4.5 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Wisconsin· 2nd of 51
$245
AK $363KY $81.28
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.